Oct 30th, 2013
Medicare payers may require you to report discarded amounts of single-use drugs or biologicals as separate line items with modifier JW Drug or biological amount discarded/not administered to any patient appended. In every case, however, practitioners must document unused portions in the patient record. If a recent Office of Inspector (OIG) review is any indication, ...
In Billing
May 11th, 2012
NHIC, Corp.’s “April 2012 Ophthalmology Optometry Billing Guide” includes a single, yet important, revision. Under the heading “Evoked Response Tests – NCD,” on page 10, the jurisdiction 14 Part B Medicare administrative contractor (MAC) has added coverage for CPT® procedure code 95930 Visual evoked potential (VEP) testing central nervous system, checkerboard or ...
May 1st, 2012
Place of service errors are on the OIG hit list, so be sure your coding is up to par. By G.J. Verhovshek, MA, CPC For the third consecutive year, the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) has included place-of-service (POS) errors as an area for review in its ...
May 1st, 2012
With so many different interpretations to coding rules, your practice can’t afford not to create one. By Pam Brooks, CPC If coding were described as a color, it would be gray. Even with CPT®, ICD-9-CM, and HCPCS Level II guidelines, and despite regulatory guidance from the Centers for Medicare & Medicaid Services (CMS), the Office ...
In Billing
Aug 11th, 2011
If you’re not getting paid for unrelated evaluation and management (E/M) services furnished by the same physician during the postoperative period, you may want to brush up on the guidelines for modifier 24 Unrelated evaluation and management (E/M) service by the same physician during the postoperative period. Medicare administrative contractor (MAC) NHIC, Corp. recently published a ...